Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pediatric Dentistry of Greenville, PA

Organization Pediatric Dentistry · NPI 1902884984

Pediatric Dentistry of Greenville, PA provides Pediatric Dentistry in Greenville, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

410A Pelham Rd
Greenville, SC 29615-3502
Phone: (864) 232-1574
Fax: (864) 232-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence ZA9916 (SC)

Record details

NPI number1902884984
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kim Martinez — Office Assitant · (864) 232-1574
NPI enumeratedJanuary 9, 2006
Last updated in NPPESAugust 22, 2020
Mailing address410a Pelham Rd, Greenville, SC 29615-3502

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